Legal Employment & Labor Overtime Authorization Form

Legal Employment & Labor
Overtime Authorization Form

Instructions for Use: Please complete this form to request authorization for overtime work. Submit the form to your supervisor or the designated HR representative for approval before working any overtime hours. 

Employee Information

Employee Name

Employee ID

Department

Position/Title

Date of Request

Overtime Work Details

Date(s) of Overtime Work

Start Time

End Time

Total Hours Worked

Reason for Overtime

Supervisor/HR Use Only

Overtime Request Approved

  • Yes

  • No

Approved Hours

Comments

Supervisor Approval

[Name]

[Date Approved]

HR Approval

[Name]

[Date Approved]


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